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NOTE: PULL ALOPMMITS (Septic, Well, etc.) MAKE -.' IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006156 <br /> DATE RECEIVED by EHD: August 01,2006 APPL#: PA-0600410 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE& SUBMIT BY: Tue, August 22, 2006 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 24155 N HWY 99 , ACAMPO APN : 00516011 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: ,� ),;t, Public Sewer: y <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approva tf3 _ enial Continuance Inspe to <br /> ..D - <br /> Sig ature <br /> Supervisor/Lead Senior COMMENTS: <br /> �. <br /> SUPERVISOR/LEAD SENIOR Approval: Date: ?yf <br /> EH 06 06 Report#7201 August 01,2006 <br />